You can post a question only up to 7 days from the date of the webinar.
You can continue to post comments and stay informed, compliant, and profitable.
This session has expired.
Register for our upcoming webinars & continue to get coding, compliance & reimbursement updates.


0 Followers Follow
Posted By mary peabody on 05-26-2019, 15:28:30 in Ob-Gyn
Hello Melanie,

Would CPT 58956 be appropriate for this case?

Please see op note and path report
Comments (3)
Posted By Melanie Witt on 05-29-2019, 19:54:36
The case you attached to this message did not state an omentectomy was performed - I just read it again - they did an omental biopsy only. The question you had asked in another post talked about omentectomy and I asked you to send the op note before I could help you, but it was not sent. But in answer to your additional comment, the gastrocolic omentum is the greater omentum and drapes from the stomach down to the transverse colon - hence the name gatrocolic omentectomy. So yes, it is an omentectomy.
Posted By mary peabody on 05-29-2019, 11:29:26
Hello Melanie,

Thank you for reviewing this case. The operative report states a gastrocolic omentectomy was performed. Is this an omentectomy?
We then directed our attention to the omentum. The omentum was separated along the avascular plane attaching it to the transverse colon. We then separated the omentum from the transverse colon mesentery and fulgerated and transected the gastroepiploic vessels. The omentum was then sent to pathology for review.

Thank you so much for your feedback.
Posted By Melanie Witt on 05-27-2019, 13:48:56
He did not do an omentectomy so the closest code as described by his surgery is 58150. However, he also assisted or was a co-surgeon to the GI MD and you should use the codes reported by that physician with the appropriate modifier for the rest of the surgery.
Do you want to remove this attachment from this post?
Yes No
Do you want to add this specialty to your selected specialty list?
Yes No
To comment, please register for any of our webinars. Click here to register for our upcoming webinars.
This comment will be permanently deleted. Do you still want to continue?
Yes No
Do you want to remove this comment from this discussion?
Yes No
Do you want to block this user from participating in this discussion?
Yes No
Do you want to allow this user to participate in this discussion?
Yes No
This post will not be available for further discussion/comments if deleted. Do you still want to continue?
Yes No